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Home My Public Portal About9547 LOWER AZUSA RD_Plumbing__ t 76A"7 17 25M SETS 7-48 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY 'It COUNTY COUNTY OF LOS ANGELES WM.J. FOX.CHIEF ENGINEER 16 NATURE OF INSTALLATIONIDIIWrRrO. ORO PERMIT ROUGH FIXTURES COMPLETE HEATER CESSPOOL X 1 SEPTIC TANK R READY FOR DATA ISSUE FIRST INSPECTION MI LA �_ APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY 09 NAME 0. A. BAker & Snn ADDRESS 2135 Lower Azusa Id m ADDRws 721 El Rovia LOCALITY Temple City, Calif, CITY El Monte TEL No. B-6592 CROS8ST. Fiesta COUNTY LICENSE NO EXPIRES NAME Ten , Roalrwell LOCATION OF SEPTIC TANK, OR CESSPOOL = MAIL 3 ADDRESS NORTH O CITY TEL.No. I AM THE LEGAL POSSESSOR OF THE ABOVE LOS ANGELES COUNTY CERTIFICATE OF ALIFICATION. Ar 000d PLumsele I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED ABOVE. • owmwt CORRECTIONS SOUTH , DESCRIPTION OF WORK z ATH TUB RNACE O MOWER DISHWASHER O -------.LAVATORY REFRIGERATOR KITCHEN SINK WATER SOFTENER —FLOOR SINK SAND TRAP —SLOP SINK DRAIN W/1SH TRAY URINAL APPROVALS WATER CLJ968T DRINKING FOUNTAIN DATE INSPECTOR'S NAIdZ TIL WATER HEATER DENTAL LAVATORY ROUGH PLUMBING 6TERO" SODA FOUNTAIN CAS PIPING GAS VENT CESSPOOL TOTAL NUMBER OR FIXTES URSEPTIC TANK xCESSPOOL x �E TIC TANK SEWER ` UTILITY CO NOTIFIED TOTAL FEE f �� FINAJL I � 76A667 17 25M SETS 7-48 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY PLUMBING ��'�� COUNTY OF LOS ANGELES Wm J.FOX.CHIEF ENGINEER NATURE O O ROUGH FIXTURESHu COMPLETB70 `/ HEATER CESSPOOL SIlpTIC TANK R Y READY FOR DATE ISSUED FIRST INSPECTION C APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY NAME 0. A. Baker & Snn 19 - ADDRESS 2135 Lower Azusa ■ ADDRESS 721 E1 Royia LOCALITY Temple CitZ, C i ARENT clnr El Mont a TEL.No. 5-6592 R . Fiesta COUNTY LICENSE NO EXPIRES NAME C LOCATION OF SEPTIC TANK, OR CESSPOOL MAIL ADDRESS NORTH O CITY TEL No IAM THE LEGAL POSSSSB BOR OF THE AOVE LOS ANGELES COUNTY CKRTIFICAT OF 9VALIFICATION.. rlure 1 AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED ABOVE. a owMvt coRREcTloxs SOUTH J DESCRIPTION OF WORK _z ATH TUB RNACE 0 HOWKR DISHWASHER O LAVATORY REFRIGERATOR KITCHEN SINK WATER SOFTENER -FLOOR SINK RAND TRAP -SLOP SINK FLOOR DRAIN WASH TRAY URINAL APPROVALS WATER CL98ET DRINKING FOUNTAIN DATE IMWBCTOR•S MANS WATER HEATER DENTAL LAVATORY ROUGH PLUMBING ETER�GAS SDA FOUNTAIN GAS PIPING OUTL �,.G Q GAB VENT CESSPOOL TOTAL NUMBER OF FIXTURES SEPTIC TANK X CESSPOOL X a��'ICTANK SEWER 3 TOTAL FEE / ,� UTILITY co.NOTIFIED FINAL COUNTY OF LOS ANGELES APPLICATION FOR PERMIT --ta—Department of County Engineer DIVISION OF BUILDING & SAFETY WILLIAM J FOX, County Engineer PLUMBING I DISTRif NO. GROUP I Z; ZERMIT N FOR APPLICANT TO FILL IN / / , R IV D BY READY OR TE ISSUED 01 FIRST INSPECTION —�� ADDRESS SC? as e-A-of'not t7' 711-6 j}— BUILDING �+ CITY V C TEL NO. ADDRESS ..J Z- LICENSE NO. rXPIREB LOCALITY NEAREST PERMIT FEES CROSS ST. .��+✓ NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER T• /AE(� (^-' MAIL WATER CLOSET(TOILET) 0 050 S ADDRESS BATH TUB 0 Oso CITY TEL. No SHOWER f O 40 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS LAVATORY (WASH BASIN) 0 0513 APPLICATION AND STATE THAT THE ABOVE 19 CORRECT AND AGREE TO COMPLY WITH ALL COUNTY OROINANCES KITCHEN SINK 0 050 AND STATE LAWS REGULATING PLUMBING. I CERTIFY THAT I POSSESS THE ABOVE VALID LOS LAUNDRY TUB OR TRAY O G 50 ANELES COUNTY LICENSE, OR IAM L OWNER GA9 SYSTEM OUTLETS 0 050 OF THE RESIDENTIAL PROP Y BOVE. SIGNATURE OF WATER HEATER 050 PERMITTEE SLOP SINK O 50 INSkCiiION RECORD FLOOR SINK O 5O FLOOR DRAIN O 50 DISHWASHER O 50 DRINKING FOUNTAIN 1350 URINAL Q Oso Q HOUSE SEWER Q 050 Z_ MISCELLANEOUS c_ 0 O APPROVALS DATE INSPECTOR-8 NAME ROUGH PLUMBING GAS PIPING GAS VENT CESSPOOL 100 CESSPOOL SEPTI TANK: SEPTIC TANK DRAIN ( ) PIT ( ) 1 00 I SEWER PERMIT 1.00 OAS TEST UTILITY CO.NOTIFIED TOTAL FEE * 2- 1 2- �a FINAL 75A507 DBS#17 10/58 DEPARTMPLUMBING 1ENT OF COUNTY ENGINEER DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION COUNTY OF LOS ANGELES BUILDING WILLIAM J. FOX, COUNTY ENGINEER ADDRESS FOR APPLICANT TO FILL IN LOCALITY BUILDING NEAREST ADDRESS �' J. " ST T ISTRICT NO ARGUP ZONE PERMIT NO LOCALITY I 4 NEAREST CROSS ST R EIVFD BY Ready for Inspection DATE/ISSUED OWNER ♦ t �� ,./ili MAIL INDUSTRIAL ADDRESS T WASTE APPROVAL CITY 400, TEL NO INSPECTION RECORD PLUMBE ADDRESS N AO CITY TELL yNO 4 e LICENSE NO / ( /[ S�mo COUNTY I �� J PERMIT FEES a z VUMSER TYPE OF FIXTURE OR ITEM FEE WATER CLOSET(TOILET) @ 080 i O BATH TUB @ 080 SHOWER @ 080 LAVATORY(WASH BASIN) @ 080 KITCHEN SINK @ 080 LAUNDRY TUB OR TRAY f6t 080 SLOP SINK 080 FLOOR SINK 080 FLOOR DRAIN 080 DISHWASHER 080 DRINKING FOUNTAIN 080 URINAL @ 080 OAS SYSTEM OUTLETS Q 1.00 WATER HEATER 1 00 MISCELLANEOUS Q APPROVALS DATE INSPECTOR'S SIGNATURE UNDER$ ABWORK PERMIT $ 1 00 ROUGH 14LUMBING TOTAL FEE GAS PIPING I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLI- GASVENT CATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE HOT WATER HEATER TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING PLUMBING FIXTURES 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY GAS TEST AND STATE OF CALIFORNIA OR THAT 1 AM THg LEGAL OWN- ER OF THE ABOVE DESCRIBED RESIDENTIAL P,EOPERTY UTILITY CO NOTIFIED SIGNATURE OF PERMITTEE _ FINAL J 1� TOA087 DBS 17 b 12-53 76AG67-CE#817 2-62 / I APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGDMER BUILDING AND SAFETY DMSION BUILDING JOHN A. LAMBIE COUNTY ENGINEER ADDRESS WILLIAM A.JENS&, SUPT OF-BUILDING LOCALITY FOR APPLICANT TO FILL IN CRNEOASs sT. NUMBER FIXTURE OR ITEM EACH FEE OWNER WATER CLOSET $1.25 MAIL BATH TUB 1.25 ADDRESS SHOWER 1.25 CITY . NO. oc LAVATORY 1.25 CONTRACTOR SINK 1.25 ADDRESS L DISHWASHER 1.25 CITYCONTRACTOR'S BTATE �.. LAUNDRY TUB 1.25 REGIATION NO. COUNTY CLOTHES WASHER 1.25 DISTRICT NO. GROUP ZONE P ESSED BY WATER HEATS 1.50 GAS SYSTEM OUTLETS 1.50 INDUSTRIAL WASTE APPROVAL OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD �- d O U m O I- d APPROVALS DATE INSPECTOR'S SIGNATURE PERMIT $ 2 00 UNDER SLAB WORK ROUGH PLUMBING TOTAL FEE GAS PIPING I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY LOFPER'IMEITTEE COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER < = t.'t pj '°'°••"'"' x. "' . Y CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES ' AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST IA OR THAT 1 AM THE LEGAL OWN OF,AND INTEND TO THE ABOVE DESCRIBED RESIDE PROPERT UTILITY CO. NOTIFIED RE i MITTEE ,z r. FINAL - ATION ROBERT A.WOOD K. M.0, CASH SUPERVISING MECHANICAL ENG'R E3 1 1 3:a DEC 7 5 D 3.5 0 I. 76^"7 OBS 17 11-50 APPLICATION FOR PERMIT ,DEPARTMENT OFNG AND SAFETY PLUMBING COIINTY OFF LOS LOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER DIsT CT No GIROUP ZONE PERMIT NO. FOR APPLICANT TO FILL IN PLUMBER RECEIVED BY READY FOR DATE ISSUED FI RST INSPECTION ADDRESS BUILDING CITY, TEL N ADDRESS O(f OOUNTY �j LOCALI M B O2r- E5� EXPIRE r7 0:S NEAREST l PERMIT FEES CROBB ST. NUMBER TYPE OF FIXTURE OR mm FEE OWNER � MAIL WATER CLOSET(TOILET) 6 a°.10 S ADDRESS S BATH TUB Q 0.50 CITY TEL. No O SHOWER ® 050 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS LAVATORY (WASH BASIN) ES O 50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY 13ROINANCES KITCHEN BINK 0 1350 AND STATE LAWS REGULATING PLUMBING. t CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS LAUNDRY TUB OR TRAY Q 13513 ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. GAS SYSTEM OUTLETS ! 0.5D SIGNATURE OF WATER HEATER @ O 50 PERMITTEE SLOP SINK a O SO INSPECTION RECO16 FLOOR SINK O.BD FLOOR DRAIN O SO DISHWASHER ® 050 DRINKING FOUNTAIN 050 URINAL O 40 Q HOUSE SEWER O SO Z O MISCELLANEOUS Q' Or APPROVALS DATE INBPEOTOR'B NAME ROUGH PLUMBING OAS PIPING GAS VENT CESSPOOL 0 1OO CESSPOOL SEPTIC TANK, SEPTIC TANK DRAIN ( ) PIT ( ) 1 00 SEWER PERMIT 1.00 GAS TEST lip J[ UTILITY OO.NOTIFIED TOTAL FEE FINAL �'� WORKERS COMPENSATION DECLARATION APPLICATION FOR PLUMBING PERMIT 1 hereby affirm that 1 have a certificate of consent to self in 76A 4/87 sure or a certificate of Workers Compensation Insurance or a CE 817(REV 8/86) Clty Of Temple City certified copy thereof(Sec 3800 Lab C) COUNTY OF LOS ANGELES DEPT OF PUBLIC WORKS Policy No 201916 Company SCTF Certified copy is hereby furnished FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING ® Certified copy is filed with the county building inspection ADDRESS 9,547 Lower Azusa Road department y NUMBER FIXTURE OR ITEM @ FEE LOCALITY Date a/l/S9 Applicant .Generhi Install WATER CLOSET(TOILET) NEAREST e=la City CERTIFICATE OF EXEMPTION FROM WORKERS BATH TUB CROSS ST COMPENSATION INSURANCE SHOWER OWNER Jesse C Seals (This section need not be completed if the work involved by MAIL the permit is for one hundred dollars($100)or less) LAVATORY ADDRESS 9547 Lower Azusa Rd- I certify that in the performance of the work for which this per SINK mit is issued I shall not employ any person in any manner so CITY TEL N as to become sublect to the Workers Compensation Laws — DISHWASHER CONTRACTOR Generd&GeneI t 1 at C . Date Applicant CLOTH WASHER ADDRESS 6558 West Blvd NOTICE TO APPLICANT If after making this Certificate of Ex SWI MM RECEPTOR emption you should become subject to the Workers Compen sphon provisions of the Labor Code you must forthwith comp LAWN SPRI SYSTEM CITY Los AncfeleSTEL NO753-2541 ly with such provisions or this permit shall be deemed revok J.L STATE LIC ed 1 WATER HEATER 6.(J0 151639 0 LICENSE No CLASS C36 LICENSED CONTRACTORS DECLARATION DISTRICT o P OCESSED BY I hereby affirm that I am licensed under provisions of Chapter GAS SYSTEM UTLETS to g 9(commencing with Section 7000)of Division 3 of the Business OUTLETS OVER and Professtgns Code and my license is in full force and of 5 PER SYSTEM FINAL r d fact DATE VALIDATION0 License Number 1!;IR!ICJ Lic Class C36 -- v FIN 9C Contractor W_A_ ttroui r Date 41A89 B O I am exempt under Sec W B&P C for this reason 911. Plan check fee Z Dote 101.Signature PLUMBING PERMIT ISSUING FEE$ 10 50 SINGLE FAMILY TOTAL FEE 16150 HOME OWNER BUILDER DECLARATION Plan check applicant c 1 hereby affirm that I am exempt from the Contractor s License Name s Law for the following reason (Section 7031 5 Business and K,�T.0 Professions Code) Address 3W7 F1 I as owner of the property will do the work and the City Tel No1 ITEMS structure is not intended or offered for sale(Section 7044 � � � a —cs� Business and Professions Code) TTI CONSTRUCTION LENDING AGENCY ► CHEIT 16„51 1 hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued CHANE (Sec 3097 Civ C ) MO-0001 /27/29 Lender s Name Lender s Address .G 4� 1 tt!11 t LA.r I certify that I have read this application and state that the above information is correct I agree to comply with all County ► ordinances and State laws r Iating Plumbing and hereby authorize representab of t County to enter upon the above on arty for i pection purposes B� SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Perm Date O